Sheryl

It works for many people (me included) It does not "knock you out", it just helps produce a natural sleepiness. People whose insomnia is tied to anxiety often find it does help, because they are looking for something that overcomes the anxiety. Melatonin is particularly helpful for sleep problems related to melatonin levels e.g. jet lag and middle of the night/ early morning wakefulness in the elderly Ativan is lorazepam, a benzo and a tranquilizer. Already discussed in this thread. There are many brands here besides Ativan (which I think is going off market). Like all benzos, addictive if taken regularly, and a controlled substance here.

OP is in Bangkok.

Lazada is just a platform. But it can happen that vendors using that platform have counterfeit goods. There are also many legitimate goods on it. It is buyer beware.

Actually it depends on number of sessions needed, 20K not unusual if say 4-5 sessions required as has happened to me. Relative had it done at Thai Red Clinic, 5 years ago was still around 13-15k. Note these prices are not inclusive of crown. Cost of crown will vary with the material/quality selected.

Aspirin definitely does increase risk of a brain bleed and should not be taken after head trauma.

I do not share your confidence in "Dr. Google". It is not designed to yield accurate medical diagnoses, it just kicks up whatever on the internet contain the key words - with no regard for relative importance or even accuracy,. Surely over the years you have had chest Xrays, I assume these were normal? And pulmonary function tests? Assuming yes to both and both normal, bronchiectasis is unlikely and, if present, would be mild (if severe PFTs would normally be affected). But if you want to be sure, a high resolution CT will definitely tell you if the bronchi are abnormally dilated. Bronchiectasis does not directly cause clubbing of the toes. When it occurs in bronchiectasis it is due to chronic hypoxia and would also affect the fingers. I think you'd know/ doctors would have spotted it if your oxygen levels were low. Many possible causes of clubbed toes including idiopathic.

Counterfeit is possible, yes. Or might just be a bad brand with little active ingrediant . This is not regulated for things categorized as supplements the way it is for pharmaceuticals. I often buy various supplements (and, in the past, melatonin) from Lazada or Shoppee but only known & trusted brands. For past year or so they haven't had any brands of melatonin that fit that criteria so I've used iHerb instead.

If it is new or has changed in size/appearance, see a doctor. Suggest the government Dermatology Institute neslar Victory Monument. They have an after hours clinic where you can directly see senior doc. MoHs is indicated only for areas where cosmetic result is important so not applicable for OP. His options are, depending on what Dr thinks: - leave it and just observe for changes - remove it without biopsy (laser, cryo) -excise and biopsy. They can do what is called a "punch biopsy", very quick and simple , and usual appproach. But if it comes back malignant may have to do further excision. Sometimes, if index of suspulicion is high a wider excision may be done to begin with to increase odds of clear margins.

It is an excellent price for private hospitals in Thailand today, relative to what they usually charge.

It relates to Gastroscopy but not to Chiang Mai. Your question re CM has already been answered. If you cannot afford privste hospital (15k is an excellent price these days for that) then you should use a government hospital. Sriphat, Maharaj Nakorn or Nakorn Ping. There will be red tape and long waits, but (if doctor agrees procedure is necessary) cost will be much less especially at the second two places. Bring a Thai speaker with you to hrlp navigate the system, and expect it to take several visits to arrange: you will not be able to get into or arrange anything by phone or online, have to go in person.

No idea re other vountries. In Thailand least expensive I know of is Medconsult in Bangkok (they will ship). But still close to 10k a month unless you are on fairly low dose and get a higher strength then use "click method". For example if using 0.5mg, get the 1 mg dose pen which will then last you 2 months. Obviously need to take care to calculate clicks correctly.

Yes, best to order online from Zenni. You will need to have prescription to do so.

Not true that you need a work permit to open bank acccount. People with retirement and marriage visas/extensions can open them and I woukd expect (but not 100% sure) DTV the same. If one bank refused you, try another. You arr only taxed on assessable income remitted into Thailand.

You will not be able to get health insurance if you have CKD. Hemoialysis is extremely expensive here (about US $200 per session, not including labs, medications etc) and I doubt you can get it outside of a private hospital, the public hospitals mainly do peritoneal dialysis and there are strict criteria and wait lists for hemo. You also (since you would be uninsured) need to consider costs of care for other illnesses. Age as well as pre-existing CKD put you at risk of many other health problems as well.

It is not "total anesthesia" anywhere, it is short acting IV sedation and does not add that much to the cost. Much recommended, but suit yourself. Anyplace can give you only a spray local anesthetic if you ask, but it is going to be quite unpleasant and probably save just a couple thousand baht. Dr. Jeerasak Intarukka has been recommended by many people and can be seen at McCormack hospital https://www.mccormickhospital.com/eregis/?i=finder They have a 15k package until the end of the year, not clear if it includes IV sedation but at that price, probably not.

By "kidney treatment" what do you mean? Dialysis or just medical follow up? All the large hospitals offer both but for dialysis one needs to be mindful of the cost.

Moved to Wellness subforum

Likely at both.

Yes shoes with proper arch support help. In Thailand, some Dr Scholls have arch support. There are also some outlets selling orthotic shoes in Bangkok Hospital (ground floor passsgeway to the Food Court) and Bumrungrad (mezzanine). Or these shops https://talon.co.th/?gad_source=1&gclid=EAIaIQobChMI0sH9jpLujAMVFaRmAh1ayjYREAAYAiABEgKD_vD_BwE https://www.fitforfeet.co.th/?lang=en https://www.walkinghabit.com/

Haven't gone myself. But a number of board memberd recommend.

Arch supports are th3 key. You can get some shoes here with arch supports built in., Or you can buy stand alone arch supports. There are various types of these, many with little pads that go under the arch, I did nto find that as comfortbale or usefu; as simple elastic sleeve like this https://www.amazon.com/Plantar-Fasciitis-Brace-Arch-Supports/dp/B07LFZJ89G/ref=sr_1_22_sspa? There are also some places in Thailand that do custom made orthotics but you'd need to indicate where in Thailand yo uare

https://www.thantakit.com/mandibular-advancement-device/

It (and all other Benzos) is a contolled drug in Thailand, have to get fom a hospital or clinic (after consulting doctor there) and they will likely limit amount prescribed at one time. Benzos are over the counter in Cambodia. Assume you know this is highly addictive if taken regularly.

Government hospitals outside of Phuket will likely cost much less (though not 5k, nowhere in Thsiland is it that cheap) but will also have long waits. Long waits are the norm for MRIs in government hospitals everywhere and Thais who can afford to usually pay privately to do it elsewhere. Suggest you look into Mission Hospital . Private but non-profit, less expensive than Bangkok Hospital. https://mission-hospital.org/en/52-clinics-centers/medicine/neurology-clinic/391-treatment.html

This doctor https://www.medparkhospital.com/en-US/doctors/asst-prof-dr-parit-mekaroonkamol https://www.bangkokhospital.com/en/doctor/assoc-prof-dr-parit-mekaroonkamol https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol Doesn't matter which hospital but the last one will cost more That's a pretty large polyp gor endoscopic removal.